Billing and Coding: Implantable Infusion Pumps for Chronic Pain (A55323) - R17 - Effective April 1, 2024

Date Posted: April 4, 2024

This coverage article has been revised and published for notice under contract numbers: 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), and 03602 (WY).

Effective Date: April 1, 2024

Summary of Article Changes:

Updated prices for Prialt (Ziconotide) and Ropivacaine per quarterly ASP Drug File update:

Effective 01/01/2024 - 03/31/2024
Prialt (Ziconotide) = $9.040
Ropivacaine = $0.077

Effective 04/01/2024 - 06/30/2024
Prialt (Ziconotide) = $9.041
Ropivacaine = $0.068

Visit the Noridian Medicare Coverage Articles webpage to view the complete listing of coverage articles and/or access the Active, Future, or Retired articles available in the CMS MCD.

Last Updated Apr 04 , 2024